Online Program

A Novel Community-Based Study Promoting Colorectal Cancer Screening in Underserved Appalachian Kentucky Communities: A Study Protocol for a Randomized Control Trial

Tuesday, November 3, 2015 : 2:30 p.m. - 2:50 p.m.

Elisia Cohen, PhD, Department of Communication, University of Kentucky College of Communications and Information Studies, Lexington, KY
Richard Crosby, University of Kentucky, Lexington, KY
Katherine Eddens, PhD, MPH, Department of Health Behavior, College of Public Health, University of Kentucky, Lexington, KY
Tom Collins, BS, Rural Cancer Prevention Center, University of Kentucky, Lexington, KY
Lindsay Stradtman, MPH, CPH, Department of Health Behavior, University of Kentucky College of Public Health, Lexington, KY
Robin Vanderpool, DrPh, Department of Health Behavior,, University of Kentucky College of Public Health, Lexington, KY
Cynthia Lamberth, MPH, CPH, Health Behavior, University of Kentcuky, Lexington, KY
Colorectal cancer is the second leading cancer cause of death in Kentucky and the United States. Appalachian Kentuckians have the greatest burden of colorectal cancer, higher incidence and mortality from colorectal cancer. While clinical trials have reported the beneficial effects of annual FIT testing comprable to colonoscopy and improved CRC screening with patient navigation, the effectiveness of these approaches in community-based studies remains understudied, particularly among Applachian adults over age 50. To address this concern, the Rural Cancer Prevention Center funded by the CDC's Prevention Research Center offers a two-parallel-arm randomized controlled trial that will compare the effect of a brief, targeted motivational video (video) + community nurse navigator (CNN) outreach intervention versus a video +CNN+targeted patient media enhanced intervention (the patient media adds targeted newsletters and an information-rich social networking site patient portal) to increase the demand for FIT testing, appropriate follow-up colonoscopy, and timely, repeat FIT-testing in a medically underserved population. Approximately 400 adults over 50 who have not had a FIT test in the apst year will be randomly assigned to one of the two study conditions. This innovative research design allows each intervention to serve as the control for the other.  This novel, simultaneous testing of two community-based interventions in a randomized fashion is an economical and yet rigorous strategy that also enhances the acceptability of the project.  The primary outcomes will be 1) patient acceptance and return of FIT kits and 2) CRC screening rates at six months.

Learning Areas:

Advocacy for health and health education
Chronic disease management and prevention
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe community engaged research strategies to improve FIT acceptibility and among Appalachian populations. Identify factors that may encourage repeat, annual FIT among Appalachian populations.

Keyword(s): Cancer Prevention and Screening, Health Care Access

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a PhD and am director of the Health Communication Research Collaborative at UK. Among my scientific interest has been the development of communication strategies to improve colorectal cancer screening.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.